Navegando por Autor "Turci, Maria Aparecida"
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Item Internações por condições sensíveis à atenção primária : a construção da lista brasileira como ferramenta para medir o desempenho do sistema de saúde (Projeto ICSAP – Brasil).(2009) Alfradique, Maria Elmira; Bonolo, Palmira de Fátima; Dourado, Inês; Costa, Maria Fernanda Lima; James, Macinko; Mendonça, Claunara Schilling; Oliveira, Berenice Veneza; Sampaio, Luís Fernando Rolim; Simoni, Carmen De; Turci, Maria AparecidaAmbulatory care sensitive hospitalizations are a set of conditions for which access to effective primary care can reduce the likelihood of hospitalization. These hospitalizations have been used as an indicator of primary care performance in several countries and in three Brazilian states, but there is little consensus on which conditions should be included in this indicator. This paper presents a description of the steps undertaken to construct and validate a list for Brazil. The final list includes 20 groups of diagnostic conditions that represented 28.3% of a total of 2.8 million hospitalizations in the National Unified Health System in 2006. Gastroenteritis and complications, congestive heart failure, and asthma represented 44.1% of all ambulatory care sensitive hospitalizations. From 2000 to 2006, ambulatory care sensitive hospitalizations decreased by 15.8%, and this reduction was more significant than that observed in all other hospitalizations. The article concludes with potential applications and limitations of the proposed Brazilian list.Item Major expansion of primary care in brazil linked to decline In unnecessary hospitalization.(2010) Macinko, James; Dourado, Inês; Aquino, Rosana; Bonolo, Palmira de Fátima; Costa, Maria Fernanda Lima; Medina, Maria Guadalupe; Mota, Eduardo; Oliveira, Veneza Berenice de; Turci, Maria AparecidaIn 1994 Brazil launched what has since become the world’s largest community-based primary health care program. Under the Family Health Program, teams consisting of at least one physician, one nurse, a medical assistant, and four to six trained community health agents deliver most of their services at community-based clinics. They also make regular home visits and conduct neighborhood health promotion activities. This study finds that during 1999–2007, hospitalizations in Brazil for ambulatory care–sensitive chronic diseases, including cardiovascular disease, stroke, and asthma, fell at a rate that was statistically significant and almost twice the rate of decline in hospitalizations for all other causes. In municipalities with high Family Health Program enrollment, chronic disease hospitalization rates were 13 percent lower than in municipalities with low enrollment, when other factors were held constant. These results suggest that the Family Health Program has improved health system performance in Brazil by reducing the number of potentially avoidable hospitalizations.Item The influence of primary care and hospital supply on ambulatory care–sensitive hospitalizations among adults in Brazil, 1999–2007.(2011) Macinko, James; Oliveira, Veneza Berenice de; Turci, Maria Aparecida; Aguiar, Frederico Campos Guanais de; Bonolo, Palmira de Fátima; Costa, Maria Fernanda LimaItem Trends in primary health care-sensitive conditions in Brazil.(2011) Dourado, Inês; Oliveira, Veneza Berenice de; Aquino, Rosana; Bonolo, Palmira de Fátima; Costa, Maria Fernanda Lima; Medina, Maria Guadalupe; Mota, Eduardo; Turci, Maria Aparecida; Macinko, JamesThis study describes trends in hospital admission rates for primary healthcare-sensitive conditions (PHCSC) in Brazil.